Organization
DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MICHAEL RNP (RNP II)
(501) 772-7875
Entity
Organization
Contact information
Practice address
5800 W 10TH ST, LITTLE ROCK, AR 72204-1752
(501) 280-4940
Mailing address
3108 TANNER TRL, LITTLE ROCK, AR 72210-1539
(501) 772-7875
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
P00723
AR
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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